MEDICARE: LIN DENTAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1902778368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIN DENTAL PC

Provider Business Mailing Address
First Line	:	2940 FRANCIS LEWIS BLVD FL 1
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-1536
Country	:	US
Telephone Number	:	718-661-2992
Fax Number	:	718-661-3850

Provider Business Practice Location Address
First Line	:	2940 FRANCIS LEWIS BLVD FL 1
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11358-1536
Country	:	US
Telephone Number	:	718-661-2992
Fax Number	:	718-661-3850

Authorized Official
Title or Position	:	DENTIST/PRESIDENT
Name	:	DR. TONGHUI LIN
Credential	:	DDS
Telephone Number	:	347-453-1949

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

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